Slr Tet Guide
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A Guide On The Assessment Of Liability In Motor Accident Cases State Courts of Singapore. 154 Chan Susan v Lai Tet Chong and another [2012] SGHC 139 (unreported). See De Cotta v Tan Hock Lee [19711973] SLR(R) 475 at [9].
If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. Contents. Background The Straight Leg Raise (SLR) test is a neurodynamic test.
Neurodynamic tests check the mechanical movement of the neurological tissues as well as their sensitivity to mechanical stress or compression. These tests, along with relevant history and decreased range of motion, are considered by some to be the most important physical signs of disc herniation, regardless of the degree of disc injury. SLR is a neural tension test that can be used to rule in or out neural tissue involvement as a result of a space occupying lesion, often a lumbar disc herniation. It is one of the most common neurological tests of the lower limb. Technique The straight leg raise is a passive test. Each leg is tested individually with the normal leg being tested first.
Tet Guide
When performing the SLR test, the patient is positioned in supine without a pillow under his/her head, the hip medially rotated and adducted, and the knee extended. The clinician lifts the patient's leg by the posterior ankle while keeping the knee in a fully extended position. The clinician continues to lift the patient's leg by flexing at the hip until the patient complains of pain or tightness in the back or back of the leg. Interpretation.
Slr Tet Guideline
If symptoms are primarily back pain, it is most likely the result of a disc herniation applying pressure on the anterior theca of the spinal cord, or the pathology causing the pressure is more central. 'Back pain only' patients who have a disc prolapse have smaller, more central prolapses. If pain is primarily in the leg, it is more likely that the pathology causing the pressure on neurological tissue(s) is more lateral. Disc herniations or pathology causing pressure between the two extremes are more likely to cause pain in both areas.
Slr Tet Guidelines
Reasoning. Neurologic pain which is reproduced in the leg and low back between 30-70 degrees of hip flexion is suggestive of lumbar disc herniation at the L4-S1 nerve roots. Pain at less than 30 degrees of hip flexion might indicate acute spondyloithesis, gluteal abscess, disc protrusion or extrusion, tumor of the buttock, acute dural inflammation, a malingering patient, or the sign of the buttock. Pain at greater than 70 degrees of hip flexion might indicate tightness of the hamstrings, gluteus maximus, or hip capsule, or pathology of the hip or sacroiliac joints. Sensitizing Maneuvers After the elicitation of symptoms, the examiner can slowly and carefully lower the leg until the patient no longer feels pain or tightness. Next, either the patient is asked to bring his or her chin to the chest, or the examiner may dorsiflex the patient's foot, or both actions may be done simultaneously; however, foot dorsiflexion is most commonly performed first. Both maneuvers are considered to be provocative or sensitizing tests for neurological tissue.
Pain that increases with neck flexion or foot dorsiflexion or both indicates stretching of the dura mater of the spinal cord or a lesion within the spinal cord (e.g. Disc herniation, tumor, or meningitis) Pain that does not increase with neck flexion may indicate a lesion in the hamstring area (tight hamstrings) or in the lumbosacral or sacro-iliac joint. Inclusion of neck flexion in the SLR is documented as Hyndman's sign, Brudzinski's Sign, Linder's Sign, or the Soto-Hall test.
Inclusion of ankle dorsiflexion in the SLR is documented as Lasegue's test or Bragard's test. Inclusion of great toe extension in the SLR (instead of ankle dorsiflexion) is documented as Sicard's Test. Modifications Modifications to the Straight Leg Raise test can be used to stress different peripheral nerves to a greater degree; these are referred to as SLR tests with a particular nerve bias.